DR. VIDYASAGAR GURRAM REDDY – Emergency Medicine Physician, NPI 1598719973

DR. VIDYASAGAR GURRAM REDDY is a healthcare provider. based in Tyler, Texas. specializing in Emergency Medicine Physician. They hold a License No. L8915 (TX). The NPI Number for DR. VIDYASAGAR GURRAM REDDY is 1598719973

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIDYASAGAR GURRAM REDDY
NPI
1598719973
Phone
Not provided
Address
3411 STOREY LAKE DR
Enumeration Date
20 May 2006
Last Update Date
8 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036933841
Graduation Year
1987 (39 years ago)
PAC ID
6204807860
Group Practice PAC ID
3375887052
Professional Enrollment ID
I20040805000642
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. VIDYASAGAR GURRAM REDDY

  • 3411, Storey Lake Drive, The Woods, Tyler, Smith County, Texas, 75707, United States

    TYLER, TX 757071761

    Phone:

    Type: Mailing

  • UT Health - Carthage, 409, Cottage Road, Carthage, Panola County, Texas, 75633, United States

    CARTHAGE, TX 756331466

    Phone: (903) 253-2485

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040805000642IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making8681$0
99285Emergency department visit with high level of medical decision making4645$0
71045X-ray of chest, 1 view1616$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 75707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375887052View full group profile

Reviews

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Frequently asked questions

Can I verify DR. VIDYASAGAR GURRAM REDDY with an NPI only?
You can start verification with NPI 1598719973 for DR. VIDYASAGAR GURRAM REDDY, then check state licensing separately.
Is DR. VIDYASAGAR GURRAM REDDY listed as active for patients and plans?
The listing shows DR. VIDYASAGAR GURRAM REDDY as active in the NPI system.
What is DR. VIDYASAGAR GURRAM REDDY's specialty?
The listing groups DR. VIDYASAGAR GURRAM REDDY with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. VIDYASAGAR GURRAM REDDY on a map?
Expect Tyler, Texas as a primary anchor for DR. VIDYASAGAR GURRAM REDDY unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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